Active NPI
Ramzi M Nassar, MD
- Psychiatry Physician
- Anchorage, AK
National Provider Identifier
1790735579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3522
- Practice address
- 4048 Laurel St
Ste 305
Anchorage, AK 99508-5389 - Phone
- (907) 562-0001
- Fax
- (907) 562-0017
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 3522 | AK | Primary |
Addresses
Primary practice location
4048 Laurel St
Ste 305
Anchorage, AK 99508-5389
Mailing address
2440 E Tudor Rd
PMB 1145
Anchorage, AK 99507-1185
Phone (907) 562-0001
Other practice location 1
508 Upland St
Kenai, AK 99611-8026
Phone (907) 335-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011307 | Medicaid | AK | |
| MD22531 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Washington | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- rnassar@direct.kenaitze.org
- rayessllc.nassarramzi@151505.advancedmd-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Anchorage, AK
- NPI 1538254347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1790735579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 E TUDOR RD",
"address_2": "PMB 1145",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071185",
"telephone_number": "907-562-0001",
"fax_number": "907-562-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 LAUREL ST",
"address_2": "STE 305",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085389",
"telephone_number": "907-562-0001",
"fax_number": "907-562-0017"
}
],
"practiceLocations": [
{
"address_1": "508 Upland St",
"address_purpose": "LOCATION",
"city": "Kenai",
"state": "AK",
"postal_code": "996118026",
"country_code": "US",
"telephone_number": "907-335-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASSAR",
"first_name": "RAMZI",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "3522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011307",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD22531",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.